Canada, Robert Bradley

Canada, Robert Bradley is an individual health care provider with primary practice located at 1325 Eastmoreland Ave Ste 445 , Memphis TN 38104-7536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Canada, Robert Bradley can be contacted via phone (901) 866-8810.

Contact Information

Primary practice address
1325 Eastmoreland Ave Ste 445 Memphis TN 38104-7536
Phone: (901) 866-8810
Fax: (901) 302-2450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 32002 Tennessee

Profile Details

NPI number 1033176250
LBN Legal business name Canada, Robert Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Feb 26th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033176250 NPPES
Arkansas MEDICAID 140694001
Arkansas MEDICAID 00122642
Arkansas MEDICAID 1033176250
Arkansas MEDICAID Q003696
Arkansas MEDICAID 003181471A
Arkansas MEDICAID 7100458660

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